Provider Demographics
NPI:1972132652
Name:SALADIN, LINDBERGH
Entity type:Individual
Prefix:
First Name:LINDBERGH
Middle Name:
Last Name:SALADIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13832 N 32ND ST STE 124-126
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-5613
Mailing Address - Country:US
Mailing Address - Phone:781-526-2388
Mailing Address - Fax:
Practice Address - Street 1:1018 W KINGS AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-3584
Practice Address - Country:US
Practice Address - Phone:781-526-2388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-05
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant